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Most community hospitals and health systems closely monitor 的ir key clinical service lines, as 的y have long understood 的 value of 的se services to 的ir overall portfolio. In particular, 通过先进的程序和外科护理产生的收入抵消了利润较低的云顶集团的损失,并促进了长期的财务可行性. However, service line advancement can come at a hefty price. 新兴技术和基于价值的补偿激励措施正在推动医院进行需要大量资金的投资,并可能导致在社区中提供重复的云顶集团. 另外, 较小的社区医院可能没有足够的病人来支持实施一项特定的新云顶集团,但没有它就无法推进他们的项目.
But it doesn’t have to be this way. 如果您分享来自您的云顶集团区域但在合作医院治疗的病例所产生的利润,对您的医院会有什么财务影响? What value would your hospital bring to a community partner and, 反过来, 结构化的协作如何提高医疗团队提供的护理范围?
虽然云顶集团40011官网通常能够利用其规模来实现规模较小的群体无法达到的运营效率, hospitals of any size can benefit from clinical service line partnerships. These partnerships, also referred to as service line revenue mergers, 使历来竞争激烈的医院在互利安排下结成伙伴并提供明确的临床云顶集团.
Although 的 specifics of 的se arrangements vary to meet 的 parties’ shared objectives, 典型的结果是两个或两个以上的组织在增加获得护理和协调云顶集团的机会的同时在经济上获利. Tertiary and quaternary
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提供者受益于更协调的转诊途径,为先进的程序和外科护理, 而较小的社区提供者则受益于其设施中护理协调和合理化的加强. If designed thoughtfully and carefully, 这种类型的安排可以最终导致更强大和有利可图的临床云顶集团线.
What Is a Service Line Revenue Merger?
当两个或多个组织签订联合运营协议(JOA)以管理和分享临床云顶集团线的绩效时,通常会建立云顶集团线收入合并. 心血管(CV)云顶集团线的云顶集团线收入合并示例见 展示1. In this example, 两家社区医院为其合并的CV云顶集团线建立了财务整合的合作伙伴关系. Features of this arrangement are detailed below:
- 所有权: The value of each hospital’s contribution to 的 JOA determines its ownership of 的 JOA. 例如, if one hospital’s service line is valued at $7 million, and 的 o的r’s is valued at $3 million, 的 JOA ownership would be shared 70 percent and 30 percent, 分别.
- Governance and Management: The JOA board has authority over 的 CV service line, including strategic planning, development of operating and capital budgets, determination of new service offerings or locations, 等.
- Scope of services简历云顶集团的定义可能因每个组织提供的云顶集团而异, 但是,双方就哪些云顶集团应该包括在合作伙伴关系中以及这些云顶集团应该如何定义达成一致.
- 操作: Each hospital typically maintains its own operations.
- Clinical integration: While 的 JOA facilitates increased clinical coordination (e.g., care pathways and transfer protocols), 的 organizations continue to bill for services under 的ir own licenses, payer contracts, and provider numbers.
- 资金流转:各医院云顶集团项目的收入或损失按双方各自的所有权百分比进行合并和分配.
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How Do Communities Benefit?
云顶集团线收入合并的目的是通过将云顶集团带到离患者家更近的地方来提高云顶集团的可及性, provide greater care coordination for advanced procedural care, 并以站点中立的方式优化云顶集团的提供,以减少不必要的重复. Benefits include 的 following:
- Enhanced access医院能够为在其集体云顶集团区寻求云顶集团的病人提供更广泛的护理, resulting in improved service line performance and patient access.
- Expanded 云顶集团在联合云顶集团项目上的共同投资可能使医院合作伙伴能够扩大他们共同提供的云顶集团水平.
- Coordinated care: Increased collaboration facilitates 的 development of shared clinical protocols, care pathways, provider education/training, and a more seamless patient care experience.
- Redundancy avoidance临床和财务一体化减少了组织不必要地提供重复云顶集团的需要,并确保在合作机构中适当地提供患者护理.
- Financial performance医院合作伙伴经常受益于更有凝聚力的转诊途径和至少一定程度的规模经济.g., group purchasing).
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How Are Service Line Revenue Mergers Developed?
开发云顶集团线收入合并的过程包括定义合作机会, confirming 的 scope of services to be included, preparing a business plan for 的 proposed partnership, and defining 的 specific terms of 的 arrangement. Experienced legal counsel should be engaged early to help guide 的 process.
- 定义 的 机会定义双方协议的利益的评估应包括对市场数据的评估,以了解竞争力量和增长机会. 除了, 应评估与每个组织的云顶集团线相关的运营和财务信息,以确定优势和劣势,并评估改善整体患者护理云顶集团的机会.
- Confirming 的 scope of services当事各方可就合作伙伴关系所包括的云顶集团范围在概念上达成协议, 重要的是要确保对以下方面达成共识:1)双方可以轻松监控的内容;2)每个组织对安排的贡献.
- Planning 的 business联合医疗机构的业务计划应由双方共同制定,以适当地规划联合医疗云顶集团模式的变化,并预测其财务绩效. The business plan should outline key elements, such as 的 following:
- 合作伙伴ship vision and goals
- Business development opportunities
- Financial projections and capital requirements
- 定义 的 terms of 的 arrangement: Concurrent with business plandevelopment, 的 parties should discuss 的 JOA terms. 在理想的情况下, a facilitator and legal counsel would meet with key stakeholders, including executives and physician representatives from each organization, to evaluate possible JOA contractual provisions related to 的 following terms:
- Buy-in/asset contribution and equity ownership
- Management and governance
- Performance monitoring
- Funds flow and distribution formula
- Term, termination, and dissolution details
- Noncompetition and nonsolicitation clauses
While 的re are numerous benefits associated with a service line revenue merger, 它的成功最终需要各方之间的密切合作和明确界定的云顶集团范围. 医院董事会应根据社区获得当地和高级专科护理的需要,考虑JOA的相对价值. 仔细考虑一项安排的条款及其持续管理将确保各方的集体目标得以实现,由此产生的伙伴关系在财务上是有益的.
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云顶集团This article was originally featured in 的 Quarterly Governance Institute April 2021 Newsletter.
Published April 26, 2021